| NPI | 1558347617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM FULP President/Speech Pathologist 336-725-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 2306) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2020-08-22 |